ArticleJournal of athletic training2023
Prevalence and Association of Exercise Dependence and Eating Disorder Risk in Collegiate Student-Athletes.
Article in Journal of athletic training, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 41 citations in OpenAlex.
- Mindful Eating, Disordered Eating, and Exercise Addiction: A Bayesian Gaussian Network Analysis.Nutrients · 2026Article
- Supporting the IOC Consensus Statement on Mental Health in Elite Athletes: A Systematic Review and Meta-Analysis on the Prevalence of Mental Health Symptoms in Elite Sports.Sports (Basel, Switzerland) · 2026Review
- Health-Related Quality of Life in Adolescent Athletes: Correlations With Energy Availability, Disordered Eating, and Compulsive Exercise Behaviors.Journal of athletic training · 2026Article
- Exercise addiction and disordered eating in young Lebanese regular sport practitioners: the indirect role of body appreciation and body dysmorphic concerns.Journal of eating disorders · 2025Article
- Eating Disorder Risk Among Adolescents: The Influence of Dietary Patterns, Physical Activity, and BMI.Nutrients · 2025Article
- The Mediating Role of Self-Criticism in the Relationship Between Coaches' Leadership Styles and Disordered Eating in Athletes.Nutrients · 2025Article
- The psychometric properties of the exercise dependence scale among South African university students.South African journal of sports medicine · 2025Article
- Examination of the Clinical Utility of Eating Disorder and Disordered Eating Screening Tools in Young Athletes: A Scoping Review.International journal of sports physical therapy · 2025Article
- A systematic review, meta-analysis, and meta-regression of the prevalence of self-reported disordered eating and associated factors among athletes worldwide.Journal of eating disorders · 2024Article
- Dysfunctional eating attitudes and behaviors among French elite athletes: the impact of psychological characteristics and the sporting calendar.Frontiers in psychology · 2024Article
- Eating Disorder Risk and Pathogenic Behaviors Among Collegiate Student-Athletes.Journal of athletic training · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextExercise dependence (EXD) is a compulsive and addictive behavior that can negatively affect physical and mental health, leading to significant impairment or distress. Exercise dependence has been associated with symptoms of eating disorders (EDs). Student-athletes are an at-risk population for EXD and EDs given the physical and psychological demands of competitive sports.
objectiveTo examine the EXD and ED risks in student-athletes across sex and sport category and to determine the association between EXD and ED.
designCross-sectional study.
settingCollegiate athletics. PATIENTS OR OTHER
participantsNational Collegiate Athletic Association Division I and II student-athletes (n = 1885; age = 19.8 ± 1.4 years; females = 69.6%, n = 1312; males = 30.4%, n = 573). MAIN OUTCOME MEASURE(S): A web-based survey including demographics, the Exercise Dependence Scale-21, the Eating Attitudes Test-26, and questions about pathogenic behaviors.
resultsOverall, 4.9% (n = 92) of the student-athletes were categorized as at risk for EXD (females = 4.8%, n = 63/1312; males = 5.1%, n = 29/573), with differences across sex and sport categories (all: χ28,1885 = 99.1, P < .001). The ED risk in student-athletes (Eating Attitudes Test-2, pathogenic behavior use, or both) was 22.7% (n = 428; females = 25.5%, n = 334/1312; males = 16.4%, n = 94/573), with differences by sex (χ24,1885 = 10.1, P = .039). Multiple logistic regressions indicated a significant association between the risks of EXD and ED for all student-athletes; athletes at risk for EXD were also at greater risk for EDs (odds ratio = 5.104; 95% CI = 3.237, 8.046) than nondependent-asymptomatic athletes (odds ratio = 2.4068; 95% CI = 1.5618, 3.7089).
conclusionsAlthough physical activity has become a public health intervention to improve overall health in populations, EXD can be considered a problem related to physical activity. Exercise dependence can negatively affect physical and mental health, whereas EDs may be psychiatric disorders influenced by EXD, as exercise can be a compensatory behavior to achieve weight loss. To minimize the overall risk of EDs in student-athletes, additional education and awareness are needed. Special attention should be given to any student-athletes, in particular females, who display signs of EXD.
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